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320849 01/17/18
Cqq" CITY OF CARMEL, INDIANA VENDOR: 226500 ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $*******172.71 ?� CARMEL, INDIANA 46032 PO Box 4250 CHECK NUMBER: 320849 UTICA NY 13504 CHECK DATE: 01/17/18 F.ETON DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 902741744 58.06 GENERAL PROGRAM SUPPL 1094 4239012 902752121 114.65 SAFETY SUPPLIES ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 226500 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Northern Safety Co., Inc. Payee P.O. Box 4250 Utica, NY 13504-4250 In Sum of$ Purchase Order# 226500 Northern Safety Co.,Inc. Terms $ 172.71 P.O.Box 4250 Date Due Utica,NY 13504-4250 ON ACCOUNT OF APPROPRIATION FOR 108 ESE 1109 Monon Center Po#ornvoice Description Dept# INVOICE NO. ACCT#lfITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1081-7 902741744 4239039 $ 58.06 Board Members 12/22/17 902741744 PTE Program First Aid Supplies xx6289 $ 58.06 1094 902752121 4239012 $ 114.65 1/4/18 902752121 Aquatic First Aid Supplies xx6313 $ 114.65 I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except $ 172.71 Total $ 172.71 January 11,2018 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 Cost distribution ledger classification if claim paid motor vehicle highway fund Signature 20_ Accounts Payable Coordinator Clerk-Treasurer Title ®RTHERN Remember..We Always Offer MEMBER OF THE WORTH A GROUP Our Lowest Price When You Order PLEASE;REMli To PO Box 4250 • Utica, NY 13504-4250 100%Satisfaction Guaranteed! RTHERINSAPETY CO:,IN- Phone:800.631.1246 •Fax: 800.635.1591 P:QBDx 4250: northernsafety.com iica NY 1�350.4�4250 SHIP TO(IF OTHER THAN"BILL TO") PLEASE REFER TO YOUR CUSTOMER ID,OUR INVOICE ANU YOUR CUSTOMER ID Carmel Clay Parks&Recreation ORDER NO. COMMUNICATIONS . 4816021 Joey 14200 River Rd BILL I Carmel Clay Parks&Recreation CARMEL IN 46033-9616 TO: 1411 E 1 16th StI y°�s 1:,:: 7.7USA CARMEL IN 46032-3455 L USA DEC 2 9 2017 XX-6289 12/22/2017 ,,,YOUR PURCHASE ORDER NUMBER AND DATE OUR PAYMENT TERMS: Net 30 -�-"1r�'�' INUOICE�DAT,Er SHIPPED VIA DATE SHIPPED 1fNUOIGE NO./ORDER NO.- _ --v, rr a ---- --.--------- — -- ----- PAYMENT-DUE 3Y: -01-;-2-1/201-8 - -- 902741744.%,980853282 12722/2017 J UPS GROUND 12/22/2017 ORDERED SHIPPED ITEM NO. LOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 4 4 6405 BX PREM FABRIC BANDAGES 1'X3' 100BX 6.79 27.16 2 2 30962 BX ALCOHOL PREP PAD M 2.56 5.12 4 4 30918 BX BZK ANTISEPTIC WIPES 100BX 1303 2.95 11.80 Tracking No. 1Z1045650390048731 *P1 EASENC TE that our STANDAR PAYMENT TERMS have been changed to NET 30 ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO SUB TOTAL SALES TAX SHIPPING&HANDLING o A FINANCE CHARGE OF 1'/::%PER MONTH WHICH $ 08 $ 0.00 $ 13.98 IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE UNPAID BALANCE. _ 'Tla P-2- Payments 9Payments must be payable-in US dollars only ---- -- - Thank You for Your--Order! FFnFRAI II)#IR-1914814 ®RTHERN Remember...We Always Offer ANVOICILE MEMBER OF THE WORTH w GROUP Our Lowest Price When You Order. AF RF REMIT To: PO Box 4250 ' Utica, NY 13504-4250 100%Satisfaction Guaranteed! NO 'E N SgFI- co.,rNG. Phone: 800.631.1246 • Fax: 800.635.1591 F'.0.BOX 4250 northernsafety.com tiea, 1�3504Z425 i SHIP TO(IF OTHER THAN"BILL TO") YOUR CUSTOMER ID Carmel Clay Parks&Recreation PLEASE REFER TO YOUR CUSTOMEROUR e AND ORDER NO. ' "' 4816021 Terese McAninch 1235 Central Park Dr E BILL I Carmel ClayParks&Recreation CARMEL IN 46032-4421 �� aw r i TO: r 7, '7;, a USA 141 1 E 1 16th St CARMEL IN 46032-3455 JAN ® p 2018 USA h11V O XX-6313 01/%04/2018 ,.,Y.OU+R URCHASE ORDER NUMBER AND DATE OURUOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT TERMS: Net 30 1NU IC N©s/ORDER NO. s - -- ---- PAYMENT DUE BY: 02/03/201$ -- - - ---- --- - 9027_521'21/980856470 01-104/20,+13----UPS GROUND 01/04/2018 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 2 2 187377 BG GAUZE SPONGE 4X4 200/BG 10.49 20.98 4 4 7280 BX STERILE PADS 4'X 4' 100BX 7280033 17.92 71.68 4 4 1728 EA HYDROGEN PEROXIDE 160Z BOTTLE 1.46 5.84 1 1 BC182 EA 2018 CATALOG KIT 0.00 0.00 Tracking No. 1Z1045650390098802 *PL FASENO FF that our STANDARQ PAYMENT TERMS have been changed to NET 30 ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO SUB TOTAL SALES TAX SHIPPING&HANDLING J •1 A FINANCE CHARGE OF 11/:%PER MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE $98.50 $ 0.00 $ 16.15 1 $ 114.65 APPLIED TO THE UNPAID BALANCE. - -Payments must-be-payable in US dollars-only - - - -- Thank You for Your Order! FEDERAL ID#16-1214814